Johnson G
Accident and Emergency Department, Derriford Hospital, Plymouth.
J Accid Emerg Med. 1996 May;13(3):173-4. doi: 10.1136/emj.13.3.173.
To examine the management of traumatic pneumothorax in a department where some of these injuries do not receive chest drains.
A retrospective study of the management of traumatic pneumothorax was performed on a unit where historically many of these injuries have been treated conservatively.
54 pneumothoraces in a three year period were identified. Of these, 29 injuries (54.7%) were initially managed without drainage. Two patients subsequently had chest drains inserted as a result of asymptomatic radiological enlargement of the pneumothorax while inpatients. No patients deteriorated clinically during conservative treatment.
Chest drain insertion for small or moderate sized traumatic pneumothoraces, in the absence of other significant injuries or the need for intermittent positive pressure ventilation (IPPV), may be unnecessary.
在一个部分创伤性气胸患者未接受胸腔闭式引流的科室，研究创伤性气胸的处理方法。
对一个历史上许多此类损伤采用保守治疗的科室中创伤性气胸的处理进行回顾性研究。
在三年期间共识别出54例气胸。其中，29例损伤（54.7%）最初未行引流处理。两名患者在住院期间因气胸无症状性影像学增大而随后插入了胸腔闭式引流。保守治疗期间无患者出现临床病情恶化。
对于小或中等大小的创伤性气胸，在没有其他严重损伤或无需间歇性正压通气（IPPV）的情况下，可能无需插入胸腔闭式引流。
